CC BY-NC-ND 4.0 · Laryngorhinootologie 2021; 100(S 02): S239
DOI: 10.1055/s-0041-1728501
Abstracts
Otology / Neurotology / Audiology

Balloon eustachian tuboplasty (BET) in children with general or localized retractions of the tympanic membrane: subgroup analysis of a retrospective multicenter study

S Euteneuer
1   Universitätsklinikum Heidelberg, HNO-Klinik, Heidelberg
,
S Maier
2   Bundeswehrkrankenhaus Ulm, Klinik für HNO-Heilkunde, Ulm
,
S Preyer
4   ViDia Christliche Kliniken Karlsruhe, HNO-Klinik, Karlsruhe
,
S Kourtidis
4   ViDia Christliche Kliniken Karlsruhe, HNO-Klinik, Karlsruhe
,
G Lehnerdt
5   Klinikverbund St. Antonius und St. Joseph, St. Anna-Klinik, HNO-Klinik, Wuppertal
,
S Winterhoff
5   Klinikverbund St. Antonius und St. Joseph, St. Anna-Klinik, HNO-Klinik, Wuppertal
,
CV. Dalchow
6   Universitätsklinikum Hamburg Eppendorf (UKE), HNO-Heilkunde, Hamburg
,
F Mueller-Jenckel
6   Universitätsklinikum Hamburg Eppendorf (UKE), HNO-Heilkunde, Hamburg
,
HH. Sudhoff
8   Klinikum Bielefeld, Klinik für HNO-Heilkunde, Bielefeld
,
S Schroeder
8   Klinikum Bielefeld, Klinik für HNO-Heilkunde, Bielefeld
,
A Koitschev
10   Klinikum Stuttgart, Olgaspital, HNO-Klinik, Stuttgart
,
P Amrhein
10   Klinikum Stuttgart, Olgaspital, HNO-Klinik, Stuttgart
,
K-L Bruchhage
11   Universitätsklinikum Schleswig-Holstein, Universität zu Lübeck, HNO-Klinik, Lübeck
,
A Leichtle
11   Universitätsklinikum Schleswig-Holstein, Universität zu Lübeck, HNO-Klinik, Lübeck
,
C Güldner
12   Universitätsklinikum Marburg-Giessen (UKGM), Standort Marburg, HNO-Klinik, Marburg
,
J Grulich-Henn
14   Universitätsklinikum Heidelberg, Zentrum für Kinder- und Jugendmedizin, Klinik für Allgemeine Pädiatrie, neuropädiatrie, Stoffwechsel, Gastroenterologie und Nephrologie, Heidelberg
,
K Jensen
15   Universitätsklinikum Heidelberg, Institut für Medizinische Biometrie und Informatik (IMBI), Abteilung Biometrie, Heidelberg
,
M Pohl
15   Universitätsklinikum Heidelberg, Institut für Medizinische Biometrie und Informatik (IMBI), Abteilung Biometrie, Heidelberg
,
PK. Plinkert
1   Universitätsklinikum Heidelberg, HNO-Klinik, Heidelberg
,
M Tisch
2   Bundeswehrkrankenhaus Ulm, Klinik für HNO-Heilkunde, Ulm
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Introduction General or localized retractions of the tympanic membrane are frequently seen in children. They pose a challenge to therapeutic decision making. On the one hand a significant proportion of retractions lingers stable. On the other hand, other retractions do progress to cholestatoma. Furthermore, recurrences after surgery, like ventilation tube placement or tympanoplasty, develop. Balloon Eustachian tuboplasty (BET) now presents a causal treatment approach to address the underlying Eustachian tube dysfunction.

Methods Retrospective multicenter study (9 tertiary care ENT departments). Patients: 4-12 year-old children with tympanic membrane retractions. Treatment: BET, alone or synchronously with paracentesis (PC), ventilation tube (VT) insertion or tympanoplasty (TPL), between 3/2011 and 8/2014. Outcome criteria: tympanic membrane appearance during microscopic otoscopy, type of tympanogram, hearing level, ability to perform Valsalva’s maneuver.

Results In total, 299 BETs were carried out in 167 children. In 88 children (140 ears), generalized or localized retraction of the tympanic membrane was given as reason for BET. 80 children (124 ears) still presented with tympanic membrane retractions at the time of surgery. They were therefore subjected to the present subgroup analysis. In 61 ears BET was the only intervention. 63 ears were treated with additional PC, VT insertion, or TPL. All outcome criteria improved in both groups treated either with BET-only or with BET and PC, PD or TPL.

Conclusion: The treatment effects observed need to be surveyed in prospective clinical trials.

Poster-PDF A-1655.pdf



Publication History

Article published online:
13 May 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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